Active NPI
Steven Deguire, PH.D.
- Psychologist
- Conneaut, OH
National Provider Identifier
1609280585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4937
- Practice address
- 501 Thompson Rd
Conneaut, OH 44030-8668 - Phone
- (440) 599-4136
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4937 | OH | Primary |
Addresses
Primary practice location
501 Thompson Rd
Conneaut, OH 44030-8668
Mailing address
501 Thompson Rd
Conneaut, OH 44030-8668
Phone (440) 599-4136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4937 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1609280585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 THOMPSON RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440308668",
"telephone_number": "440-599-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 THOMPSON RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440308668",
"telephone_number": "440-599-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUIRE",
"first_name": "STEVEN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.